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Home My WebLink AboutPermit EL11-0098 - GENOA HEALTHCAREGENOA HEALTHCARE 18300 CASCADE AV EL1 1 -0098 Parcel No.: Address: Tenant Name: City* Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us 7888900175 18300 CASCADE AV TUKW GENOA HEALTHCARE ELECTRICAL PERMIT Permit Number: EL11 -0098 Issue Date: 02/07/2011 Permit Expires On: 08/06/2011 Owner: Name: RIVERPOINT TWO LLC Address: PO BOX 20399 , SEATTLE WA 98102 Contact Person: Name: BART SLOAN Address: PO BOX 261114 , FEDERAL WAY WA 98093 Contractor: Name: BEDDOW ELECTRICAL SRVS CO INC Address: 3722 196 AV CT E , SUMNER WA 98391 Contractor License No: BEDDOES973CF Phone: 206 - 779 -8144 Phone: 206 - 571 -6268 Expiration Date: 02/06/2013 DESCRIPTION OF WORK: RELOCATE 3 EXISTING THERMOSTATS Value of Electrical Work: NRES: $360.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $71.40 National Electrical Code Edition: 2008 Date: �-- I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whet er specified herein or not. The granting of this construction o of this permit. Signature: does pr et authority to violate or cancel the provisions of any other state or local laws regulating orized to sign and obtain this electrical permit and agree to the conditions on the back Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -9/09 EL11 -0098 Printed: 02 -07 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0098 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. doc: EL -9/09 E L 11 -0098 Printed: 02 -07 -2011 CITY OF TUK6/VrLA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.ci.tukwila.wa.us Electrical Permit No. j_l t — Doq Project No. (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION 2 ,,� King Co Assessor's Tax No.: -7 ER q0--- 017 S i Site Address: JC.�b /e� 5� Co (� � �� Suite Number: Floor: l9.)eSTSibE Tenant Name: ) (,'(/Lde' k-CC IJ 'e New Tenant: ,� Yes ❑..No Property Owners Name: ■ V -ef -pO i t -‘-W0 1, L--,C, 13c3v c i ke 41W a' Z.4&:7- Mailing Address: City State 4M, 9 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: i'— \d CLY7 Day Telephone: c24(5(o — 7 Mailing Address: r. Q BQ) Q� ea / t: %��—� Le 1 9-a 3 City -am St`attee/ Zip E -Mail Address: Fax NumberP6 J —7 7 7 7 ELECTRICAL CONTRACTOR INFORMATION Company Name: 3Ir. c UU t....� F-c..c.k-kr-C., � \ 5-C-U v CC e,e) i',,ct_ , Mailing Address: j / a 7 /% 757 I 1 4, ps, ti i& % 7391 / City " State Zip Contact Person: 2 T .FS l t t/-_-- Day Telephone: 2) 6 ^7 217 'c/ E -Mail Address: Contractor Registration Number: So.Dp6 59 7 3 C1 Expiration Date: Fax Number: /6, e C7 Valuation of Project (contractor's bid price): $ 3C�, Scope of Work (please provide detailed information): Will service be altered? ❑ Yes g No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Adding more than 50 amps? ❑ Yes ,rNo Property Served by: ❑ Puget Sound Energy .13 Seattle City Light HAApptications\Eorms- Applications On Line VON Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Tenant Improvement ❑ Temporary Service 1 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, fumace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING-OWNERIOR ELECTRJGA±' ONTRACTOR: Signature �b Print Name: VA 4D\ �w/f /' %� l Day Telephone: -a�°- 779-01 zee" Mailing Address: 3 7 2 / /� 7A f't(/t - (.C�r// ea—TAP-Ps (,e,�i 839 g � 1 City Date: ^ 2 o` / State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H :Applications \Forms - Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc bb Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: //www.ci.tukwila.wa.us Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: GENOA HEALTHCARE RECEIPT Permit Number: EL11 -0098 Status: PENDING Applied Date: 02/07/2011 Issue Date: Receipt No.: R11 -00233 Initials: WER User ID: 1655 Payment Amount: $71.40 Payment Date: 02/07/2011 03:51 PM Balance: $0.00 Payee: SB QUALITY AIR TRANSACTION LIST: Type Method Descriptio Amount Payment Check 13218 71.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receiot -06 Printed: 02 -07 -2011 r.. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT A. CITY OF TUKWILA BUILDING DIVISION a- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 61 rh104 Type of Inspection: . 31,0 Address: 03, / Date Called: Special Instructions: 4": $i '1 ' i Date Wanted: a.m.; �P• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. j COMMENTS: Inspector: Date: a r' . REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedulereinspection. • • .•J09 Contractors or Tradespeople Pr er Friendly Page • Electrical Contractor A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company BEDDOW ELECTRICAL SRVS CO INC 2065716268 3722 196Th Avenue Ct E Sumner WA 98391 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602145357 Active BEDDOES973CF Electrical Contractor 2/6/2003 2/6/2013 General Unused License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status BEDDOE5013MK BEDDOW ELECTRICAL SERVICES CO Electrical Contractor General Unused 7/12/1999 7/12/2003 Archived Master Electrician INFORMATION License BEDDORE981RB Name BEDDOW, RANDY E Status Active Business Owner Information Name Role Effective Date Expiration Date BEDDOW, RANDALL E Agent 02/06/2003 5/31/2007 BEDDOW, RANDY E President 02/06/2003 $1,000.00 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SE7954 12/06/2002 Until Cancelled $4,000.00 02/06/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EBRIC00871 5/31/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC00872 5/31/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC00874 5/31/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBRIC00873 5/31/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBOES00254 8/17/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOKAD01456 10/21/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EOKAD01459 10/21/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/07/2011